title: Cervical cancer screening practice and knowledge among Hispanic migrant and seasonal farmworkers of Michigan.
abstract: BACKGROUND
  High incidence of cervical cancer among Hispanics and low utilization of cervical screening among farmworkers led us to examine Pap test use and knowledge among Hispanic farmworkers in Michigan.
  
  
  METHODS
  Patients and potential patients of Northwest Michigan Health Services, Inc were surveyed in 2 communities (A and B) about their screening knowledge, attitudes, and practice.
  
  
  RESULTS
  In all, 324 farmworkers participated, including 184 seasonal and 125 migrant farmworkers. Among the entire study population, 87.7% women reported receiving a Pap test recently, with no difference between migrant and seasonal farmworkers (88.0% and 87.4%, respectively, P = .088). More women from community B reported a recent Pap (93%) compared with those from community A (83%, P = .01). Only 35% of the participants had knowledge of any cervical cancer risk factors.
  
  
  CONCLUSIONS
  Migrant farmworkers may not experience more difficulty in accessing Pap tests than seasonal farmworkers in Michigan. Knowledge about cervical cancer risk factors is low and needs to be addressed in future educational interventions.
authors.affiliation: Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA.
authors.forename: Jayne S
authors.initials: JS
authors.lastname: Knoff
authors.forename: Siobán D
authors.initials: SD
authors.lastname: Harlow
authors.forename: May
authors.initials: M
authors.lastname: Yassine
authors.forename: Amr S
authors.initials: AS
authors.lastname: Soliman
mesh_terms: D000069:Acculturation; D000328:Adult; D017677:Age Distribution; D000383:Agriculture / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer / Q000379:methods / Q000706:statistics & numerical data*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D007407:Interviews as Topic; D008824:Michigan; D008875:Middle Aged; D065006:Papanicolaou Test / Q000379:methods / Q000706:statistics & numerical data; D012307:Risk Factors; D014171:Transients and Migrants / Q000706:statistics & numerical data; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000208:ethnology / Q000517:prevention & control* / Q000821:virology; D014626:Vaginal Smears / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: Hispanic; cervical cancer; farmworkers; rural population